2023 SNS Intern Boot Camp - Session 2 Pretest
Please complete the pretest below.
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Below which PaCO2 Value is considered hyperventilation?
(Required.)
< 32 mmHg
< 35 mmHg
< 45 mmHg
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4.
Prophylactic Hyperventilation is an effective way to prevent ICP in severe TBI patients.
(Required.)
Yes
No
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5.
It is safe to hyperventilate a patient as low as 30mmHg as long as the brain oxygenation (PbtO2) remains above 20 mmHg?
(Required.)
Yes
No
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6.
First line treatment in all patients with ICP > 22 mmHG should be paralytics.
(Required.)
Yes
No
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7.
What is the first line treatment (medication) for a patient that is actively herniation?
(Required.)
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8.
Please assign the intervention to the correct tier:
(Required.)
Tier 0
Tier 1
Tier 2
Tier 3
Transfusion 1 unit of PRBC if Hgb < 9g/L
Tier 0
Tier 1
Tier 2
Tier 3
Secondary decompressive craniectomy
Tier 0
Tier 1
Tier 2
Tier 3
Temperature management to prevent fever
Tier 0
Tier 1
Tier 2
Tier 3
Increase FiO2 to 60%
Tier 0
Tier 1
Tier 2
Tier 3
Sedation to prevent agitation
Tier 0
Tier 1
Tier 2
Tier 3
Maintain CPP 60-70mm HG
Tier 0
Tier 1
Tier 2
Tier 3
Increase sedation
Tier 0
Tier 1
Tier 2
Tier 3
Avoid hyponatremia
Tier 0
Tier 1
Tier 2
Tier 3
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9.
Determine if this is an intervention to lower ICP or increase Brain oxygenation:
(Required.)
ICP Management
Brain Oxygenation Management
Both
Decrease PaCO2
ICP Management
Brain Oxygenation Management
Both
Increase CPP to maximum of 70 mmHg with fluid and pressers
ICP Management
Brain Oxygenation Management
Both
Hypertonic Saline by intermittent bolus
ICP Management
Brain Oxygenation Management
Both
Transfusion 1 unit of PRBC if Hgb < 9g/L
ICP Management
Brain Oxygenation Management
Both
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10.
Name orders that should be standard for every severe TBI patient:
(Required.)
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11.
Which of the following treatments are NOT recommended in severe TBI patients?
(Required.)
Increase PaO2 to above 150mmHg
Steroids to decrease brain swelling
Transfusion 1 unit of PRBC if Hgb < 8g/L
Decrease ICP threshold to < 22 mmHg
Lumbar CSF drainage
Continuous Mannitol infusion
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12.
What is the ICP threshold beyond which ICP should be treated?
(Required.)
20
22
25
30
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13.
What is the PbtO2 threshold below which PbtO2?
(Required.)
10
20
22
30